Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination

AIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-ba...

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Main Authors: Jin Yang, Hong-Fei Ye, Xiao-Di Qiu, Lei Cai, Yi Lu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-08-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/8/202008001.pdf
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spelling doaj-0b17d058d3e04ebba5c9599b7a0d529f2020-11-25T03:06:48ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-08-012081299130310.3980/j.issn.1672-5123.2020.8.01Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illuminationJin Yang0Hong-Fei Ye1Xiao-Di Qiu2Lei Cai3Yi Lu4Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, Shanghai 200031, China; Myopia Key Laboratory of Health PR China, Shanghai 200031, ChinaAIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-bag(spontaneous)IOL dislocation after uneventful phacoemulsification cataract extractions, with the dislocated IOL or IOL-capsular bag complex dropping completely into the vitreous since 2013 were included in our studies. The postoperative patients were followed up for 6mo. Detailed description of technique and retrospective description of eight typical cases were demonstrated in this study.<p>RESULTS:A total of 40 surgeries were conducted using this technique. The main possible predisposing conditions included: post-vitrectomy, posterior capsule rupture or broken zonules, a history of ocular trauma, long axial length, secondary IOL implantation, chronic uveitis, retinitis pigmentosa and post-glaucoma surgery. In all eyes, the IOLs were successfully removed. No intraoperative or postoperative complications related to the procedures occurred. The preoperative corrected distance visual acuity(CDVA)ranged from 20/133 to 20/25, and at 6mo postoperatively, the CDVA was similar or the same. The intraocular pressure was all within the normal range.<p>CONCLUSION: One-port PPV under direct vision with microscope illumination is a simple and safe surgical technique to managing IOL dislocation, which shortens the surgical time, and largely avoids surgical complications.http://ies.ijo.cn/cn_publish/2020/8/202008001.pdfintraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgeryintraocular lens dislocationone-portpars plana vitrectomycataract surgery
collection DOAJ
language English
format Article
sources DOAJ
author Jin Yang
Hong-Fei Ye
Xiao-Di Qiu
Lei Cai
Yi Lu
spellingShingle Jin Yang
Hong-Fei Ye
Xiao-Di Qiu
Lei Cai
Yi Lu
Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
Guoji Yanke Zazhi
intraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgery
intraocular lens dislocation
one-port
pars plana vitrectomy
cataract surgery
author_facet Jin Yang
Hong-Fei Ye
Xiao-Di Qiu
Lei Cai
Yi Lu
author_sort Jin Yang
title Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
title_short Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
title_full Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
title_fullStr Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
title_full_unstemmed Managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
title_sort managing intraocular lens dislocation with one-port pars plana vitrectomy under direct vision with microscope illumination
publisher Press of International Journal of Ophthalmology (IJO PRESS)
series Guoji Yanke Zazhi
issn 1672-5123
1672-5123
publishDate 2020-08-01
description AIM: To describe a technique of managing intraocular lens(IOL)with deep dislocation in the vitreous cavity by performing pars plana vitrectomy(PPV)with only one pars plana incision under the direct illumination of the surgical microscope.<p>METHODS: Patients who had in-the-bag or out-of-the-bag(spontaneous)IOL dislocation after uneventful phacoemulsification cataract extractions, with the dislocated IOL or IOL-capsular bag complex dropping completely into the vitreous since 2013 were included in our studies. The postoperative patients were followed up for 6mo. Detailed description of technique and retrospective description of eight typical cases were demonstrated in this study.<p>RESULTS:A total of 40 surgeries were conducted using this technique. The main possible predisposing conditions included: post-vitrectomy, posterior capsule rupture or broken zonules, a history of ocular trauma, long axial length, secondary IOL implantation, chronic uveitis, retinitis pigmentosa and post-glaucoma surgery. In all eyes, the IOLs were successfully removed. No intraoperative or postoperative complications related to the procedures occurred. The preoperative corrected distance visual acuity(CDVA)ranged from 20/133 to 20/25, and at 6mo postoperatively, the CDVA was similar or the same. The intraocular pressure was all within the normal range.<p>CONCLUSION: One-port PPV under direct vision with microscope illumination is a simple and safe surgical technique to managing IOL dislocation, which shortens the surgical time, and largely avoids surgical complications.
topic intraocular lens dislocation; one-port; pars plana vitrectomy; cataract surgery
intraocular lens dislocation
one-port
pars plana vitrectomy
cataract surgery
url http://ies.ijo.cn/cn_publish/2020/8/202008001.pdf
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